III. Personal remarks
………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
Referee's Name: ...................................................................................................................................................................
Position: ..................................................................................................................................................................................
Institution: .............................................................................................................................................................................
Telephone: .............................................................................................................................................................................
Fax: ...........................................................................................................................................................................................
E-mail: .....................................................................................................................................................................................
Signature: ............................................................................................Date: ..................................... ………………………
The completed form should be sent back via email or mail to :
Mrs Françoise Flejszman
PhD Program in Cancer and Immunology
Administration Office
Department of Biochemistry (DB-UNIL)
Chemin des Boveresses 155
CH-1066 Epalinges
Switzerland